Full name *

ID/Student/Employer/Passport Card Number *

Postal address*

Mobile/App/Phone number *

Email *

Name employer or institution

Your position in the institution

Address (institution)

Phone (institution)

I(we) would like to request climatologcal/hydrological/hydraulic data/water quality data
from your institution.

I(we) will use this data for the purpose of*
Education (development of course material)Project work/assignments (only for students and lecturers)Student thesis research (only for students and lecturers)Research work (only for educational institutes and students/lecturers)Research work (only for governmental, semi governmental and private institutions)Engineering projects (only for governmental, semi governmental and private institutions)Other......

I(we) will use this data for the following purposes (explain in detail and/or attached the project proposal)

In case you have a project proposal, upload this file also
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Data resources

Note: if the requested information is the same for all stations, you only have to sent one application form. In case you want to request information of more than one station with different information’s, you will need to sent several requests.

Station name
Pompstation WK Plein, Paramaribo
M3M2M4CATT2CATT3CATT1TWSO4E2E1O1C11C13C12C3W3C2
Pompstation Tourtonne, Paramaribo
TT6TT4TT7
Pompstation Blauwgrond, Paramaribo
BL1BL3BL4BL5
Pompstation Leysweg, Paramaribo
L1A91L2L5L5CL6L683L7L9L10
Pompstation Flora, Wanica
FL1FL2FL3
Helena Christina, Wanica
MAGENTHA 3MAGENTHA 2MAGENTHA 7MAGENTHA 4Helena Christina 4Helena Christina 5Helena Christina 6Helena Christina 2Helena Christina 1
Livorno, Wanica
D1D2D13D4D5D14D11D8D9D10D12
Republiek, Para
RPP08ZRPP04ZRPP02ZRPP06ZRPP23ZRPP41ZRPP39ZRPP38ZRPP37ZRPP30ZRPP26ZRPP19Z

Hydrologicalvariable and type of data
troebelheidpHHCO3-CO2O2FeCl-AmmoniumNitriteNitrateManganesetotale hardheidBact. coli groepTDS

Additional Information
Specify anything else required to fulfill this data request.

I (we) agree not to distribute this data to other persons/institutionsI (we) agree to sent your institution a digital or hardcopy of the produced reports/analysis of this data when finished.